| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
392 |
372 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
121 |
121 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
181 |
179 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
205 |
191 |
$4K |
| V2020 |
Frames, purchases |
209 |
203 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
183 |
181 |
$3K |
| 92015 |
Determination of refractive state |
162 |
162 |
$40.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
257 |
237 |
$0.00 |
| 1036F |
|
280 |
256 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
379 |
356 |
$0.00 |